Vonda K Campbell, P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

116460 Issued in MO

Practice address

4355 Maryland Ave
Apt 328
Saint Louis, MO 63108-2737

Phone

(636) 734-5993

NPI assigned

Feb 25, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1306015342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 MARYLAND AVE",
            "address_2": "APT 328",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082737",
            "telephone_number": "636-734-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 MARYLAND AVE",
            "address_2": "APT 328",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082737",
            "telephone_number": "636-734-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "VONDA",
        "middle_name": "K",
        "credential": "P.T.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "116460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Jean Campbell, DO
• Renee Campbell, RDH
• Shelly Ann Campbell, RN, ACNP, BC
• Shirley Maureen Campbell, NP
• Valerie Ann Campbell, NP
• William Rodney Campbell, MA, LMFT
• Mary J Campigotto, FNP
• Argun Dennis Can, M.D., M.S.
• Melissa Canas Diaz, MD
• Katina M Candee, PA-C

• Physical Therapy Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.